0001209191-22-006682.txt : 20220203 0001209191-22-006682.hdr.sgml : 20220203 20220203102042 ACCESSION NUMBER: 0001209191-22-006682 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211124 FILED AS OF DATE: 20220203 DATE AS OF CHANGE: 20220203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bristow Claire H CENTRAL INDEX KEY: 0001563815 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16715 FILM NUMBER: 22586932 MAIL ADDRESS: STREET 1: 4300 SIX FORKS ROAD CITY: RALEIGH STATE: NC ZIP: 27609 FORMER NAME: FORMER CONFORMED NAME: Bristow Claire Holding DATE OF NAME CHANGE: 20121206 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST CITIZENS BANCSHARES INC /DE/ CENTRAL INDEX KEY: 0000798941 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 561528994 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4300 SIX FORKS ROAD CITY: RALEIGH STATE: NC ZIP: 27609 BUSINESS PHONE: 919 716 7000 MAIL ADDRESS: STREET 1: 4300 SIX FORKS ROAD CITY: RALEIGH STATE: NC ZIP: 27609 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-24 0 0000798941 FIRST CITIZENS BANCSHARES INC /DE/ FCNCA 0001563815 Bristow Claire H 4300 SIX FORKS ROAD RALEIGH NC 27609 0 0 1 0 Class A Common 30000 D Class A Common 2022-01-19 5 G 0 E 16 0.00 A 282145 I Claire Holding Bristow 2nd Amended and Restated Trust Class A Common 81746 I Claire H. Bristow 2020 GRAT Class A Common 12152 I As Co-Trustee for Peter McDonald Bristow 2019 Irrevocable Family Trust Class A Common 10858 I As beneficiary of Trust Class A Common 14500 I By spouse as Trustee for Claire Holding Bristow 2018 Irrevocable Family Trust Class A Common 2022-01-19 5 G 0 E 16 0.00 A 8931 I By spouse as trustee for Peter M. Bristow 2nd Amended and Restated Trust Agreement Class A Common 2022-01-28 5 G 0 E 63 0.00 D 8868 I By spouse as trustee for Peter M. Bristow 2nd Amended and Restated Trust Agreement Class A Common 2022-01-19 5 G 0 E 16 0.00 A 15124 I By daughter Ella Bristow Class A Common 2022-01-28 5 G 0 E 21 0.00 A 15145 I By daughter Ella Bristow Class A Common 6106 I PMB Investments, LLC Class A Common 2154 I CRB Investments, LLC Class A Common 2045 I EHB Investments, LLC Class A Common 19041 I By spouse as trustee for PMB Trust 2011 Class A Common 19041 I By spouse as trustee for CRB Trust 2011 Class A Common 19041 I By spouse as trustee for EHB Trust 2011 Class B Common 2022-01-28 5 G 0 E 69 0.00 D 43786 I Claire Holding Bristow 2nd Amended and Restated Trust Class B Common 40014 I Claire H. Bristow 2020 GRAT Class B Common 1250 I As beneficiary of Trust Class B Common 538 I By spouse as trustee for Peter M. Bristow 2nd Amended and Restate Trust Agreement Class B Common 8350 I PMB Investments, LLC Class B Common 8850 I CRB Investments, LLC Class B Common 8710 I EHB Investments, LLC Class B Common 2021-11-24 5 G 0 E 37 0.00 A 2227 I By daughter Ella Bristow Class B Common 2022-01-28 5 G 0 E 23 0.00 A 2250 I By daughter Ella Bristow Depositary Shares 41285 I Claire Holding Bristow 2nd Amended and Restated Trust The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 of the Securities Exchange Act of 1934 or for any other purpose. Each Depositary Share represents a 1/40th interest in a share of the Issuer's 5.375% Non-Cumulative Perpetual Preferred Stock, Series A. Claire H. Bristow, By: William R. Lathan, Jr., Attorney-in-fact 2022-02-03